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pmid:36742380

Elafin is related to immune infiltration and could predict the poor prognosis in ovarian cancer.

Weiyu Lu · Biao Xie · Guangqing Tan · Wanying Dai · Jingyi Ren · Sadaf Pervaz · Kun Li · Fangfang Li · Yingxiong Wang · Meijiao Wang

Frontiers in endocrinology · 2023 doi:10.3389/fendo.2023.1088944

Paper

complete

Experiment

complete

Data

partial

Analysis

complete

Execution

absent

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Record details sci_version · id · kind · revision · content_hash · schema · created_at · updated_at · generator
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Elafin is related to immune infiltration and could predict the poor prognosis in ovarian cancer.
doi
10.3389/fendo.2023.1088944
pmid
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[0]
Weiyu Lu
[1]
Biao Xie
[2]
Guangqing Tan
[3]
Wanying Dai
[4]
Jingyi Ren
[5]
Sadaf Pervaz
[6]
Kun Li
[7]
Fangfang Li
[8]
Yingxiong Wang
[9]
Meijiao Wang
journal
Frontiers in endocrinology
year
2023
abstract
Background: Ovarian cancer (OC) is the most lethal gynecologic malignancy, yet the clinical results for OC patients are still variable. Therefore, we examined how elafin expression affects the patients' prognoses and immunotherapy responses in OC, which may facilitate treatment selection and improve prognosis. Methods: The elafin mRNA expression profile was downloaded from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus. Elafin's prognostic potential and its relationship with clinical variables were investigated using Kaplan-Meier survival curves, time-dependent receiver operating characteristic curves as well as univariate and multivariate Cox regression models. As validation, protein expression in the tumor and adjacent tissues of OC patients was investigated by using immunohistochemistry (IHC). Comprehensive analyses were then conducted to explore the correlation between immune infiltration and elafin expression. Results: A higher mRNA expression of elafin was associated with an unfavorable prognosis in TCGA cohort and was validated in GSE31245 and IHC. Moreover, elafin was indicated as an independent risk factor for OC. A significantly higher protein expression of elafin was detected in the adjacent tissues of OC patients with shorter overall survival (OS). The immune-related pathways were mainly enriched in the high-elafin-mRNA-expression group. However, the mRNA expression of elafin was favorably correlated with indicators of the immune filtration and immunotherapy response, which also proved better immunotherapy outcomes. Conclusion: The high elafin expression was associated with an unfavorable OS, while it also indicated better immunotherapy responses. Thus, the detection of elafin is beneficial to diagnosis and treatment selection.
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To validate the prognostic value of elafin, we computed the correlation between gene expression and OS in OC by using the Kaplan–Meier (KM) survival curve.
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To validate the prognostic value of elafin, we computed the correlation between gene expression and OS in OC by using the Kaplan–Meier (KM) survival curve.
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The KM survival curves based on data from TCGA showed that patients in the high-expression group had a shorter 5-year OS than those in the low-expression group (HR = 1.71, 95% CI: 1.27–2.31, P = 0.0004; Figure 2A ).
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The KM survival curves based on data from TCGA showed that patients in the high-expression group had a shorter 5-year OS than those in the low-expression group (HR = 1.71, 95% CI: 1.27–2.31, P = 0.0004; Figure 2A ).
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The KM survival curves based on data from TCGA showed that patients in the high-expression group had a shorter 5-year OS than those in the low-expression group (HR = 1.71, 95% CI: 1.27–2.31, P = 0.0004; Figure 2A ).
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The KM survival curves based on data from TCGA showed that patients in the high-expression group had a shorter 5-year OS than those in the low-expression group (HR = 1.71, 95% CI: 1.27–2.31, P = 0.0004; Figure 2A ).
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Complete file
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Therefore, we examined how elafin expression affects the patients' prognoses and immunotherapy responses in OC, which may facilitate treatment selection and improve prognosis.\nMethods: The elafin mRNA expression profile was downloaded from The Cancer Genome Atlas (TCGA) and Gene Expression Omnibus. Elafin's prognostic potential and its relationship with clinical variables were investigated using Kaplan-Meier survival curves, time-dependent receiver operating characteristic curves as well as univariate and multivariate Cox regression models. As validation, protein expression in the tumor and adjacent tissues of OC patients was investigated by using immunohistochemistry (IHC). Comprehensive analyses were then conducted to explore the correlation between immune infiltration and elafin expression.\nResults: A higher mRNA expression of elafin was associated with an unfavorable prognosis in TCGA cohort and was validated in GSE31245 and IHC. 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